Department of Anesthesia, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Pain Res Manag. 2020 Nov 12;2020:8834807. doi: 10.1155/2020/8834807. eCollection 2020.
We aimed to assess the level of patient's satisfaction and associated factors regarding postoperative pain management.
An institution-based cross-sectional study was conducted from April to May 2018 at the University of Gondar, and comprehensive specialized hospital data were collected through semistructured questionnaire and chart review. Level of satisfaction was measured using five-point Likert scale. Statistical analysis was done using SPSS software version 23. Both bivariable and multivariable logistic regression analyses were done. Variables of value ≤0.2 in the bivariable analysis were a candidate for multivariable logistic regression. A value ≤0.05 was considered as significantly associated with patient's level of satisfaction at 95% CI.
A total of 418 patients were included in this study with a response rate of 98.58%. The overall proportion of patients who were satisfied with pain management services was 72.2% (95% CI: 67.7-76.6). ASA1 (AOR = 3.55: 95% CI = 1.20-10.55) and ASA2 patients (AOR = 3.72: 95% CI = 1.04-13.28), absence of postoperative pain (AOR = 1.86: 95% CI = 1.02-3.39), peripheral nerve block done (AOR = 9.14: 95% CI = 3.93 20.86), received analgesic before request (AOR = 6.90: 95% CI = 3.72-12.83), and received systemic analgesics (AOR = 6.10: 95% CI = 1.17-33.91) were significantly associated with the level of satisfaction.
The level of patient satisfaction with postoperative pain management was considerably low. Hence, it is vital to implement time-interval pain assessment method during the first 24 hours of postoperative period and treat accordingly based on the WHO pain ladder. Moreover, we suggested that all patients who underwent major surgery should receive peripheral nerve block as part of multimodal analgesia to decrease the incidence and severity of post op pain.
评估患者对术后疼痛管理的满意度及其相关因素。
这是一项 2018 年 4 月至 5 月在古德勒克大学和综合专科医院进行的基于机构的横断面研究，通过半结构化问卷和病历回顾收集综合专科医院的数据。采用 5 分李克特量表测量满意度。使用 SPSS 软件版本 23 进行统计分析。采用双变量和多变量逻辑回归分析。双变量分析中 值≤0.2 的变量是多变量逻辑回归的候选变量。 值≤0.05 被认为与患者满意度在 95%CI 中有显著关联。
本研究共纳入 418 例患者，应答率为 98.58%。对疼痛管理服务满意的患者比例为 72.2%（95%CI：67.7-76.6）。ASA1（OR=3.55：95%CI：1.20-10.55）和 ASA2 患者（OR=3.72：95%CI：1.04-13.28）、无术后疼痛（OR=1.86：95%CI：1.02-3.39）、行外周神经阻滞（OR=9.14：95%CI：3.93-20.86）、要求前给予镇痛剂（OR=6.90：95%CI：3.72-12.83）和给予全身镇痛剂（OR=6.10：95%CI：1.17-33.91）与满意度显著相关。
患者对术后疼痛管理的满意度相当低。因此，在术后 24 小时内实施时间间隔疼痛评估方法并根据世界卫生组织疼痛阶梯进行相应治疗至关重要。此外，我们建议所有接受大手术的患者应接受外周神经阻滞作为多模式镇痛的一部分，以降低术后疼痛的发生率和严重程度。
